方书中所出淋病,证状不一,所谓诸淋,亦不能备尽。若随其所因而命名,如劳,如惊
,如寒,如湿,如风,如暑,以至暴淋等,虽无定论,皆不出三因之所致也。当详此推治,
无施不可。又有转胞,以胞系了戾,小便不通,证状自别,不可不辨。然治之亦当利其小便
,古方令服肾气八味丸,其中有茯苓故也。
《经》云∶膀胱不利为癃,不约为遗溺者,乃心肾气传送失度之所为也。故有小涩而遗
者,有失禁而出不自知。又妇人产蓐,产理不顺,致伤膀胱,遗尿无时。又小儿胞冷尿床,
亦着成人者。治之各有方。
治少长遗尿;及男子虚剧,阳气衰败,小便白浊,夜梦泄精。此药补养元气
,进美饮食。
家韭子(六两,炒) 鹿茸(四两,酥炙) 苁蓉(酒浸) 牛膝(酒浸) 熟地黄 当归(各二两)
巴戟(去心) 菟丝子(酒浸,各一两半) 杜仲(去皮锉制,炒丝断) 石斛(去苗) 桂心 干姜
(炮,各一两)
上为末,酒糊为丸,如梧子大。每服五十丸,加至百丸,空心食前盐汤、温酒下。小儿
遗尿者,多因胞寒,亦禀受阳气不足故也,别作一等小丸服。
治小便遗失不禁。
阿胶(二两,炒) 牡蛎( 取粉) 鹿茸(切酥炙,各四两)
上为锉散。每服四大钱,水一盏,煎七分,空心服;或作细末,饮调亦好。
方书中记载的淋病,症状表现多种多样,所谓的“诸淋”,也无法全部列举详尽。如果根据致病原因来命名,如劳淋、惊淋、寒淋、湿淋、风淋、暑淋,甚至暴淋等,虽然尚无定论,但都不外乎由三因(内因、外因、不内外因)所致。应当详细推究病因进行治疗,无论何种情况皆可施治。又有转胞一证,因胞系扭转不顺,导致小便不通,其症状表现自然不同,不可不加以辨别。然而治疗此证也应当通利小便,古方令服用肾气八味丸,其中含有茯苓的缘故。
《内经》说:“膀胱气化不利则发为癃闭,约束无力则发为遗尿”,这是心肾之气传输失度的缘故。所以有的小便涩痛而遗尿,有的失禁而出且自己不知晓。另外妇女在产褥期,因产理不顺,损伤膀胱,导致随时遗尿。还有小儿因胞冷而尿床,也有延续到成人的。针对这些情况各有相应的治疗方法。
治疗老少遗尿;以及男子虚损严重,阳气衰败,小便白浊,夜间梦遗泄精。此药能补养元气,增进饮食胃口。
家韭子(六两,炒制)、鹿茸(四两,用酥炙)、肉苁蓉(酒浸)、牛膝(酒浸)、熟地黄、当归(各二两)、巴戟天(去心)、菟丝子(酒浸,各一两半)、杜仲(去皮锉碎制成,炒至丝断)、石斛(去苗)、桂心、干姜(炮制,各一两)。
以上药物研为细末,用酒糊制作成丸,大小如梧桐子。每次服用五十丸,可加至一百丸,空腹饭前用盐汤或温酒送服。小儿遗尿者,多因胞寒,也是禀受阳气不足的缘故,另外制作一种小丸服用。
治疗小便遗失不禁。
阿胶(二两,炒制)、牡蛎(取粉)、鹿茸(切块后用酥炙,各四两)。
以上药物锉散。每次服用四大钱,用水一盏,煎至七分,空腹服用;或者制成细末,用饮液调服也可以。
The Lin syndrome (strangury) recorded in medical texts presents with various symptoms, and the so-called "various types of Lin" cannot be exhaustively listed. If named according to their etiology, such as Lao Lin (fatigue strangury), Jing Lin (fright strangury), Han Lin (cold strangury), Shi Lin (dampness strangury), Feng Lin (wind strangury), Shu Lin (summer-heat strangury), up to Bao Lin (sudden strangury), although there is no fixed consensus, all fall under the causation of the Three Causes (internal, external, and neither internal nor external). One should carefully deduce the treatment based on these causes; no situation is beyond treatment. There is also Zhuan Bao (displacement of the bladder), where the bladder ligaments are twisted and misaligned, causing inability to urinate; its symptoms are distinct and must not fail to be differentiated. However, treating it should also involve promoting diuresis (promoting urination); ancient formulas prescribe taking Shenqi Bawei Wan (Kidney Qi Eight-Ingredient Pill), which contains Fu Ling (Poria) for this reason.
The *Classic* states: "When the Bladder lacks smooth flow, it becomes Long (stagnant urine/retention); when it lacks control, it becomes Yi Ni (involuntary urination)." This is caused by the loss of proper transmission between the Heart and Kidney Qi. Thus, some experience painful, scanty urination with leakage, while others have incontinence without awareness. Furthermore, women during the postpartum period, due to difficult labor, may injure the Bladder, resulting in involuntary urination at any time. Additionally, children may wet the bed due to cold in the bladder, and this condition may persist into adulthood. Each has specific treatments.
To treat involuntary urination in both young and old; and in men, severe deficiency with failure of Yang Qi, turbid white urine, and nocturnal emission during dreams. This medicine tonifies and nourishes Yuan Qi (original Qi) and improves appetite.
Jiu Zi (Allii Tuberosi Semen, 6 liang, stir-fried), Lu Rong (Cervi Cornu Pantotrichum, 4 liang, roasted with suet), Cong Rong (Cistanches Herba, soaked in wine), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine), Shu Di Huang (Rehmanniae Radix Praeparata), Dang Gui (Angelicae Sinensis Radix) (each 2 liang), Ba Ji Tian (Morindae Officinalis Radix, heart removed), Tu Si Zi (Cuscutae Semen, soaked in wine, each 1.5 liang), Du Zhong (Eucommiae Cortex, bark peeled, cut, stir-fried until fibers break), Shi Hu (Dendrobii Caulis, seedlings removed), Gui Xin (Cinnamomi Cortex), Gan Jiang (Zingiberis Rhizoma Praeparatum, processed, each 1 liang).
Grind the above into powder, mix with wine paste to make pills the size of wutong seeds. Take 50 pills per dose, increasing to 100 pills, taken on an empty stomach before meals with salt water or warm wine. For children with enuresis, it is mostly due to cold in the bladder and insufficient congenital Yang Qi; prepare a separate batch of smaller pills for them.
To treat urinary incontinence.
E Jiao (Colla Corii Asini, 2 liang, stir-fried), Mu Li (Concha Ostreae, obtain powder), Lu Rong (Cervi Cornu Pantotrichum, sliced and roasted with suet, each 4 liang).
Cut the above into coarse pieces. Take 4 qian per dose, add one zhan of water, decoct to 0.7 zhan, take on an empty stomach; or grind into fine powder and mix with drinkable liquid.